NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will check the expiry date on the label before I use the vial.”
2. B“I will not leave my insulin in a hot car.”
3. C“I will keep my spare insulin in the freezer so it lasts longer.”
4. D“I will keep unopened insulin in the fridge.”

Which patient is the best choice for the room closest to the nurses’ station?

1. AA young adult waiting for discharge tomorrow
2. BA patient admitted for a planned scan, feeling well
3. CA confused older adult at high risk of falls
4. DA patient with stable diabetes who walks independently

간호사는 언제 소화기로 불을 끄려 해야 합니까?

1. A절대 안 된다. 소방관만 소화기를 쓸 수 있다
2. B출구가 막혀 있어도 연기가 있으면 언제든지
3. C불이 작고, 경보를 울렸고, 출구가 확보되었을 때만
4. D시간을 아끼려고 경보를 울리기 전이라도 언제나

A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?

1. ASimple human error, managed only by consoling the nurse and moving on
2. BAcceptable behavior, because it is common on the unit
3. CAt-risk behavior, managed by coaching and fixing the system pressures behind it
4. DReckless behavior, managed by immediate dismissal and reporting to the licensing board

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA falling serum potassium
2. BA rising serum calcium
3. CA rising white cell count
4. DA falling serum uric acid

A patient with SIADH is on fluid restriction. Which task can the RN delegate to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?

1. AAssessing the patient for new confusion
2. BMeasuring and recording intake and output
3. CDeciding when to recheck the sodium level
4. DTeaching the reasons for fluid restriction

Which statement about storing insulin is correct?

1. AUnopened insulin is kept in the fridge and must not be frozen
2. BInsulin never expires once opened
3. CInsulin should be kept in direct sunlight
4. DAll insulin should be stored in the freezer to keep it fresh

환자의 혈액 검사에서 칼륨이 6.8 mmol/L이고 심전도에서 뾰족한 T파가 보입니다. 심장을 가장 빨리 보호하는 치료는?

1. A저칼륨 식이만
2. B경구 칼륨 보충제
3. C정맥 글루콘산칼슘
4. D다음 날 푸로세미드 정제

Why must anti-embolism stockings be measured and fitted correctly?

1. ALoose stockings make the patient's legs too warm at night
2. BPoorly fitting stockings can cause pressure damage
3. CTight stockings work better, so the smallest size is always best
4. DCorrect fit is needed only to improve the appearance

As the defibrillator charges, a nurse sees a colleague still holding the patient's bed rail. What should the nurse do?

1. ATurn off the defibrillator and start a new cycle of CPR
2. BAsk the colleague to hold the patient's hand instead
3. CCall clearly for everyone to stand clear and check before the shock
4. DDeliver the shock now, as the bed rail is not part of the patient

Why should long-term steroid treatment not be stopped suddenly?

1. AThe suppressed adrenal glands cannot make enough cortisol at once
2. BStopping suddenly makes the bones grow too quickly and then fracture
3. CThe steroids build up and become toxic after they are stopped
4. DStopping causes the blood glucose to fall sharply

After removal of a cortisol-producing adrenal adenoma, why may the patient need hydrocortisone for months?

1. AThe other adrenal gland has been suppressed
2. BHydrocortisone helps the wound to heal
3. CThe tumour will grow back quickly without it
4. DThe operation always removes both adrenal glands

Which instruction is important during bowel preparation for colonoscopy?

1. ADrink plenty of clear fluids while taking the preparation
2. BEat a high-fibre meal the evening before the test
3. CAvoid all fluids for 24 hours before the test
4. DTake the preparation only if the bowels have not opened

만성 통증으로 장기간 아편유사제를 복용하는 환자가 수술을 위해 입원했습니다. 올바른 설명은?

1. A아편유사제 미사용 환자보다 수술 후 아편유사제 용량이 더 낮게 필요하다
2. B내성 때문에 평소 아편유사제를 계속하고 추가 진통을 한다
3. C수술이 끝난 후에는 파라세타몰만 받아야 한다
4. D중독을 막기 위해 입원 시 모든 아편유사제를 중단해야 한다